Individual provider Active NPI

Sahar Kebriaei, DDS

  • Dentist
  • Rosemead, CA
National Provider Identifier
1649167289
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111648 Issued in CA
Practice address
1717 Walnut Grove Ave Ste 500
Rosemead, CA 91770-3799
Phone
(626) 737-6917
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111648 CA Primary

Addresses

Primary practice location

1717 Walnut Grove Ave Ste 500
Rosemead, CA 91770-3799

Mailing address

158 S Madison Ave Apt 206
Pasadena, CA 91101-2569
Phone (818) 818-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia Camacho Dental Corporation CurrentSince Jun 23, 2025 Accepting new patients

Locations

1717 Walnut Grove Ave
Ste 500
Rosemead, CA 91770
Phone (626) 737-6917

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1649167289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 S MADISON AVE APT 206",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012569",
            "telephone_number": "818-818-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WALNUT GROVE AVE STE 500",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703799",
            "telephone_number": "626-737-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBRIAEI",
        "first_name": "SAHAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.